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    CONGRESS

    OF THE PHILIPPENES

    SJX'ITENTII CONGRESS

    First

    Regular

    SessIOn

    }

    HOUSE OF REPRESENTATIVES

    H. No.

    4577

    By REPRESENTATIVES YAP S.), MERCAoo.REvILLA, Co

    AND

    BATOCABE,

    PER

    COMMIITEE REpORT

    No

    297

    AN

    ACT INSTITUTIONALIZING A PREHOSPITAL EMERGENCY

    MEDICAL CARE SYSTEM, PROVIDING FOR THE

    ESTABLISHMENT, SUPERVISION AND REGULATION OF

    THE PREHOSPITAL EMERGENCY CARE PROFESSION,

    PROVIDING PENALTIES FOR VIOLATIONS THEREOF AND

    APPROPRIATING FUNDS THEREFOR

    Be

    t

    en cted

    by the Senate

    nd

    House

    o

    Representatives

    o

    he Philippines in

    Congress assembled

    CHAPTER I

    GENERAL PROVISIONS

    3

    SECTION l

    Short Title

    -

    This Act shall be known as

    the

    4 Pre-Hospital Emergency Care Act .

    5

    SEC 2

    Declaration

    of

    Policy - It

    is

    hereby declared the policy of the

    6 State to protect and promote the right to health

    of

    the people. Pursuant to this

    7 policy, the government shall endeavor to cultivate and maintain

    an

    8

    environment

    conducive to the practice

    of

    pre-hospital emergency care,

    9

    maximize

    the capability and potential

    of

    Emergency Medical Technicians

    10

    (EMTs) and other

    p r e ~ h o s p i t l

    care professionals and institute a standard

    11

    system

    of r e ~ h o s p i t l

    emergency medical services

    in

    the country.

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    SEC 3. Objecllves.

    -

    In

    support

    of State policy, this Act:

    2

    a)

    Mandates the development and institutionalization

    ofa

    p r e ~ h o s p i t a l

    3 emergency medical service system at the national and local levels;

    4 b) Creates a National P r e ~ o s p i t a l Care Council;

    5 c) Establishes a national standard for the provision

    of

    pre-hospital

    6 emergency medical services by duly certified/registered p r e ~ h o s p i t a l care

    7 professionals;

    8 d)

    Mandates

    the supervision and regulation of the practice of

    9 pre-hospital care professionals;

    10 e) Mandates the standardization of the training of pre-hospital care

    11 professionals;

    12

    f)

    Prescribes certification,

    registration

    and recertification

    13 requirements

    afpre-hospltal care professionals;

    14 g) Establishes standards for the design, manufacture, accreditation

    and

    15

    regulation

    of

    emergency

    medical vehicles;

    6

    h)

    Mandates the adoption and

    use

    ofa

    National Unjversal Emergency

    17 Telephone Number; and

    18 i) Establishes support services to pre-hospital

    emergcncy

    medical

    19 services.

    20

    SEC. 4.

    DefinitIon o/Terms -

    As used

    In

    this Act:

    l a)

    Accredited trammg ins itutions

    refer to organizations authorized

    to

    22 offer training programs, courses and continuing education

    in

    emergency

    23

    medical services

    for prchospital

    care

    professionals

    that meet

    the standards

    24 established by the National Pre-Hospital

    Care

    Council, hereinafter referred to

    25

    as the Council created under this Act, In

    coordination

    with

    the

    Technical

    26 Education and Skills

    Development AuthoTtty TESDA), the Commission on

    27

    Higher Education CHED) and the Deparnnent of Health DOH), among

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    others, and are duly recognized by the TESDA or the CHED, as applicable,

    2 and duly registered in good standing with the Council;

    3 b)

    Ambulance

    refers to an emergency medical vehicle for transporting

    4 sick or injured people to, from or between places of treatment for

    an

    illness or

    5 injury, and are equipped and manned to,

    in

    some instances, provide medical

    6 care to the patient;

    7 c)

    Competency-based assessment

    refers to evidence gathering and

    8 judgment by an authorized assessor who evaluates

    the

    teclmical and practical

    9 skills, abilities and knowledge

    of

    a pre-hospital care professional

    in

    accordance

    1 with the standards and guidelines established

    by

    the Council. in coordmation

    11 wlth the TESDA, in

    the

    case of onc

    who

    holds a technical nondegree Certified

    12 Emergency Medical Technician course under the TESDA, or in coordination

    3 with the CHED and the Professional Regulation Commission

    PRe)

    in the case

    14

    of one who holds a Registered Emergency Medical Technici3nParamedic

    J5 REMT P) degree course requiring the issuance ofa professional license;

    16

    d) Emergency Medical

    Services

    EMS) Medical Direcior refers

    to

    a

    17 licensed physician with trairung

    in

    emergency medicine and ~ v i t h at least five

    18 5) years expenence in emergency medical care as certified by the Council or

    19

    the local medical authority charged with the supervision

    of

    EMS, and adequate

    20 training and experience in the standard emergency medical treatment protocols

    21 set by the Council;

    22

    e)

    National Pre-Hospital Emergency Medical Treatment Protocols

    23

    refer

    to

    emergency medical procedures

    outlining

    approved

    clinical

    practices

    24 and therapies to

    be

    observed

    by

    p r e ~ h o s p i t l care professionals, as established

    25

    by

    the Council created under Section 5 hereof;

    26

    f) Pre-hospital care professionals

    refer to:

    27

    I)

    Emergency Medical Technician

    -

    a

    preMhospital emergency care

    28 provider who has fulfilled the requirements of and continues

    to

    hold the

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    qualifications established by the Council, in coordination with the

    TESDA.

    the

    2 CHED and the PRC, among others;

    3 (2) Registered Emergency Medical Technician-Paramedic REMT-P)

    4 - a p r e ~ h o s p i t l emergency care provider who

    is

    capable of performing

    5 extensive pre-hospital care services such as administering medications orally

    6 and intravenously. interpreting electrocardiograms (ECGs) tracings,

    7

    performing

    endotracheal intubations and using monitors and other complex

    8 equipment. A

    REMT-P

    is required to maintain the qualifications and fulfill the

    9 requirements set

    by

    the Council;

    10

    (3) Ambulance Dispatch Officer

    -

    a person duly trained and certified

    11 in the administration, management and operation of the ambulance dispatch

    t

    2 and communication system and who has fulfilled the requirements and who

    13

    continues to hold the qualifications established by the Council, in coordination

    14 with the

    TESDA,

    the CHED and the PRC, among others;

    15 (4)

    Ambulance Assistant

    -. a person who, having gained the minimum

    16

    certification a ) a Medical First Responder

    Advanced

    Fitst Aider), is charged

    17 with the operat ion and general care of emergency medical vehicles (ambulance

    18 driver), in addition

    to

    providing basic medical care for patients under the direct

    19 supervision ofan EMT or REMT-P; and

    20

    5) Other pre-hospital care professionals providmg other support

    21 services for the provision

    of

    pre-hospital emergency medical care;

    22 g) Pre-hospital emergency medical services refer to:

    23

    1)

    Pre-hospital emergency care

    independent delivery of pre-hospital

    4 emergency medical services by appropriately trained and certified EMTs,

    25 usually in a mobile

    Or

    community setting, in full accordance with the

    National

    26 Pre-Hospital Emergency Medical Treatment Protocols established

    by

    the

    27 Council; and

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    2) Pre-hospital advanced life support -

    advanced pre-hospital

    2 standards fur the care

    of

    seriously

    ill

    or injured patient

    by

    appropriately tramed

    3 and certified EMTs, as established

    by

    the Council. These pre-hospital

    4 standards may include advanced pre-hospital trauma care, advanced

    5 pre-hospital cardiac life support and the care

    of

    high dependency patients for

    6 inter-hospital transfer, among others

    7 CHAPTER n

    8 NATIONAL PRE-HOSPITAL CARE COliNCIL

    9

    SEC.

    5 Creation o the National Pre-Hospital Care Council. - The

    10 National Pre-Hospital Care ouncilor the Council IS hereby created tmder the

    11 DOH.

    12

    SEC. 6.

    Objectives o th Council

    - The Council shall fulfill the

    13 following objectives:

    14

    a) To fannulate policies governing

    the

    field of pre-hospital emergency

    15

    medical services and related institutions;

    16

    b) To implement policics n coordination

    A ith

    affiliated medical and

    11

    educational institutions;

    18 c) To develop national standards for the provision of pre-hospital

    19 emergency medical services to include the skills, abilities and knowledge

    20 required

    of

    a pre-hospital

    care

    professional, and the development

    of

    mandatory

    21

    national medical

    treatment

    protocols

    to be observed b)

    pre-hospital care

    22 professionals and such other entities as

    it

    may consider appropriate;

    23 d) To

    promulgate

    a Code

    of Ethics for EMTs;

    24 e) To develop high standards

    of

    operation for pre-hospital emergency

    25 care support service providers;

    26 t) To establish and maintain a roster of

    certified

    EMTs;

    27 g) To develop standards and protocols for the design., construction,

    28 outfitting and operation of emergency medical vehicles; and

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    h) To engage

    in

    research on pre-hospital care, technology, education

    2 and training, the formulation

    of

    curricula and the evaluation

    of

    existing

    3 courses, assessment and the examination procedures.

    4

    SEC

    7.

    Membership

    o

    the Council.

    -

    The members

    of

    the Council

    5 shall

    e

    composed

    of

    the following:

    6

    a) x officio members.

    7 1) The Secretary

    of

    the DOH as Chairperson

    of

    the Council;

    8 2) The Secretary

    of

    the Department

    of

    the Interior and Local

    9 Goverrunent DlLG);

    10

    3) The Director General

    of

    the TESDA; and

    II 4) The Chairperson of the CHED; and

    12

    b) Members to be appointed by the Secretary

    of

    the DOH upon

    13

    nomination

    by

    their respective associations:

    14

    1) One 1) nominee

    of

    a national orgafilzation duly registered with the

    15

    Securities and Exchange Commission SEC) and reccgnized

    by

    the DOH as

    16 being representative

    of

    the EMT profession within the Republic

    of

    the

    17

    Philippines:

    Provided

    That upon the organization

    of

    the national accredited

    18

    professional organization

    ofEMTs,

    mandated under Section

    31

    of

    this Act, its

    19

    nominee shall automatically hold this seat

    in

    the

    o u n c i l ~

    20 2) Four 4) nominees

    of

    local health boards, one 1) each from the

    21 National Capital Region, Luzon, Visayas and Mindanao areas;

    22 3) One 1) registered emergency medical practitioner representing a

    23 recognized professional-based organization with lOterest on emergency

    24

    medicine;

    25 4)

    One I) registered medical

    phYSician

    representing a

    recognized

    26 professional-based organization on cardiology;

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    5) One

    I)

    registered nurse with the requisite training

    or

    experience in

    2 emergency room nursing, representing a recognized professional-based

    3 organization ofemergency care nurses; .

    4 6) One I) representative from an educational or training institution

    5 offering EMT programs, which has been duly accredited

    by

    the TESDA or the

    6 CHED and recognized by the Council in accordance

    with Its

    rules and

    7 regulations;

    8 7) One I) representative from a recognized national professional

    9 association of medical practitioners;

    10 8) One I ) representative from the Philippine Medical Association;

    II 9) One

    l)

    representative from a DOH hospital; and

    12

    10) One I) representative from the Philippine National Red Cross.

    13 SEC

    8

    erm o/Office - Each member of the Council shall not serve

    14

    for

    morc than three 3) consecutive terms. A term shall

    e

    for a period

    of

    two

    15

    2) years.

    16

    SEC 9 Powers

    nd

    Functions -

    fa

    carry out

    Its mandate, the

    17

    Council shall f:xcrClse

    the following powers

    and

    functions

    18 a) Encourage al\d facilitate the organization of a network of

    19 p r e ~ h o s p i t a l care professionals to ensure the provision of EMS to the general

    20 public on a national basis;

    21 b) Maintain a roster of qualified pre-hospital care professionals,

    22 providers, and training institutions, and

    coordinak

    the licensing and

    23 accreditation

    o f p r e ~ h o s p i t a l

    care professionals with the

    PRe;

    24 c) Establish a secretariat under an executive dIrector for the

    25 administrative and d a y ~ t o d a y operations

    of

    the C o u n c i l ~

    26

    d) Create committees and other mechanisms to help expedite the

    27 implementation

    of

    plans and strategies;

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    (e) Set

    up

    a system

    of

    networking and coordination among all existing

    2

    government

    health agencies, local goverrunent units (LGUs) and

    3 nongovernment medical instltutions/agencies for the effective implementation

    4

    of

    its programs and activities;

    5 (f) Generate reSOurces from local, national and international

    6 organizations/agencies, whether government or the private sector, for its

    7 operation;

    8 g) Receive and accept donations and other conveyances including

    9 funds, materials and services

    by

    gratuitous title

    Provided

    That not more than

    10

    thirty percent (30 ) of said funds ')hall be used for admmistrative expenses;

    i

    (h) Prepare an annual budget

    of

    the Council and submit

    tn

    same to the

    12 President for inclusion

    in

    the annual General Appropriations Act;

    13 (i) Advise the President on matters pertaining to

    p r e ~ h o s p i t l

    EMS;

    14 U Review

    membership

    of thl: Council

    in

    hne with changes in the

    15

    status

    of

    concerned national

    organization

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    and the CHED shall designate their respective staff to serve as members

    of

    the

    2 Secretariat.

    3 n establishing the Secretariat, the Council shall consider the following

    4 areas:

    5

    6

    (a) Education and standards development;

    (b) National examination/assessment system for p r e ~ h o s p i t l care

    7 professionals;

    8

    9

    10

    12

    13

    14

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    16

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    (c) Research;

    (d) Supervision and regulation;

    e)

    Policy, planning

    and

    research;

    I)

    Administration;

    g)

    Finance; and

    h)

    Programs on the following areas:

    I)

    I-hlman resource development;

    2)

    Emergency medica vehicles; and

    3j

    Emergency communications.

    SEC 11 Meetltlgs The Council shall meet at least once every

    18

    quarter.

    19

    SEC 12

    Program PLans

    -

    The Council shall, within six (6) months

    20 after its constitution

    and organization, adopt and immediately cause to be

    21

    implemented, in coordination with medical and related agencies, a shorHange

    22 one (I)-year program in support

    of

    relevant existmg projects and activities and

    23

    a

    longrange five (5)-year development program geared

    towards

    achieving

    the

    24 objectives of this ct This development program shall be dcveioped and

    25 subjected to annual review and revision

    by

    the Council, in coordination with

    26 relevant public and private medical agencies and organizations.

    27

    SEC

    13. Accreditation - The Council shall issue certifications and

    28

    licenses

    for the following:

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    a) Accreditation of training institutions for EMTs and related

    personnel; and

    b) Accreditation

    of

    emergency medical vehicle providers.

    CHAPTER III

    EMERGENCY MEDICAL TECHNICIANS

    SEC 14

    Creation

    o

    Piantilla Positions for Emergency Medical

    Technicians EMTs) - There shall be created a minimum number

    of

    plant ilia

    positions for EMTs in the following government hospitais/health facilities

    within five 5) years after

    the

    approval

    of

    this Act:

    a) Level 3 and 4 Hospitals - Five 5) EMTs and at least one

    I)

    Ambulance Assistant;

    b) Level I and 2 Hospitals - Three 3) EMTs and at least one I)

    Ambulance Assistant; and

    c) Other Health Facilities - As may be deemed necessary by the

    Council.

    The annual fmancial requirements for the salaries of EMTs shall be

    included in the annual general appropriations

    of

    the respective hospitals, health

    facilities and LGUs.

    SEC 15 Scope o the Practice o Emergency Medlcal Care

    - The

    emergency medical care practice involves services performed in responding

    to

    the perceived needs

    of an

    mdividual for immediate medical care in order to

    prevent loss

    of

    life

    or

    aggravation

    of

    physiological

    or

    psychological illness

    or

    injury delivered in a pre-hospital, inter-hospital

    and

    hospital emergency care

    setting. For this purpose, the Council, in coordination with the PRe shall

    develop the scope

    of

    work of EMTs based

    on

    internationally accepted

    standards. as adapted

    to

    the Philippine setting.

    SEC

    16 Authorized Training Institution

    Training programs,

    courses and continuing education

    for an

    EMT shall be

    conducted

    by an

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    institution that has been granted a certificate of program registration (COPR)

    by

    the

    TESDA

    in case

    of

    technical nondegree courses under the supervision

    of

    the TESDA, or a certificate

    of

    accreditation as a higher education institution

    (BEl) as

    well as program accreditation by the CHED, in the case of degree

    programs under the supervision of the CHED. The requirements prescribed by

    the Council shall serve as the minimum requirement for program registration.

    The DOH may provide training programs for EMTs: Provided That these

    shall

    be

    in accordance wi th the standards set by the CounclL

    SEC 17.

    CertificatIOn Registration and Recertification

    The

    certification, registration and recertification of EMTs for nondegree courses

    shall be administered by the TESDA and by the PRC for degree courses in

    accordance with the rules and regulations of the PRC and without prejudice to

    the enactment

    of

    a licensure law for EMTs. A certification shall be valid for a

    period of three (3) years. The

    TESDA

    and the PRe shall recertify EMTs upon

    submission of a competencY-based assessment from a

    recognized

    EMS

    Medical D i r ~ c t o r

    SEC 18. QualificatIOns An app\kant for r c g i ~ t r a t i Q n as an EMT

    must

    e

    a citizen

    of

    the Philippines, at least twenty-one (21) years

    of

    age,

    of

    good moral character and must produce before the Council satisfactory

    evidence of good moral character and a certification that no charges against

    one s person involvmg moral turpitude have been filed or are pending in any

    court in the Philippines.

    SEC 19. Examination Required. An applicant for registration as an

    EMT shall be required to undergo a nationally-based assessment test or

    licensure examination to e given in such places and dates as may be

    designated by the TESDA, for those who hold nondegree courses, and by the

    PRe for those who hold dt:gree courses.

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    O

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    SEC

    20. Schedule

    o

    ExammatJOn - National written examinations

    for

    EMTs

    in Ihe Philippmes shall

    be

    given

    by

    Ihe

    TESDA and

    the PRC al Ieasl

    twice every year.

    SEC

    21. Release

    oj

    the

    Resulls oj

    Examination - The results of the

    examination shall

    be

    released

    by

    the TESDA within

    twenty

    20) working days

    and by the PRe within two 2) months from the date of the examination.

    SEC 22.

    Issuance o the Certificate

    o

    Registration and EMT

    Identification Card

    A certificate of

    registration

    shall be issued to

    examinees who pass the national EMT examinations given by the TESDA

    or

    the PRe. The certificate of registration shall remain in full force and effect

    1 J

    until

    revoked or suspended in accordance with this Act An EMT

    12 identification card, bearing the registration number, date of issuance and expiry

    13 date, duly signed by the TESDA Director General or the PRC Chairperson,

    14 shall likewise

    be

    Issued to every registrant upon payment of the required fees.

    15 The EMT identification card shall be renewed every three 3) years upon

    16

    satisfactory

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    \3

    SEC

    24. Revocation or Suspension of the Certificate of RegIstration,

    2 EMT Identification Card or Cancellation

    of

    TemporarylSpecial

    Permz .

    3 The Council may, upon recommendation

    of

    the TESDA

    Of

    the

    PRe

    in

    4 accordance with the prescribed procedures and due process, revoke or suspend

    5 the certificate

    of

    registration

    or EMT

    identification card.

    6 SEC 25.

    Reinstatement, Relssuance or Replacement of Certificate of

    7

    Registration alld EMT I;tenlijicatlOn Card -

    After two 2) years from the

    8 revocation

    of

    a certificate

    of

    registration, the TESDA

    or

    the

    PRe

    upon the

    9 recommendation

    of

    the Council, may reinstate a revoked certificate

    of

    10 registration and reissue a suspended EMT identification card after compliance

    11

    by

    the applicant

    with

    the requirements for reinstatement.

    12 SEC

    26.

    Continuing FAucation.

    - The Council shall develop a

    13

    program

    for

    the continuing

    education

    of

    EMTs as a condition for EMTs to

    14 continue the practice

    of

    their profession and maintain the requisite

    15

    accreditation

    by

    the TESDA

    or

    the

    PRe

    l6

    SEC

    27.

    Roster a Certified \1Ts ana'

    R l v f T s ~ P

    -

    The Council, in

    17 coordination with the TESDA. the CHED,

    the

    PRe

    and the accredited

    18 professional organizations representing the profession

    of

    EMT within the

    19

    country,

    shall prepare, update and maintain a roster

    of

    certified EMTs and

    20 REMTs-P.

    21 SEC 28.

    Issuance

    of

    Temporary/Special Permit.

    - Upon application

    22 and payment

    of

    the necessary fees, and subject to the requirements specified

    by

    23

    the Council, the TESDA or the PRC, the Department

    of

    Justice

    DOl)

    and the

    24 Bureau

    of

    Immigration Bl) may issue temporaryJspecial permits to EMS

    25 personnel from foreign countries whose sen-ices are urgentiy needed

    in

    the

    26 absence of local EMTs or when the supply

    of

    such certified technicians is

    27 inadequate.

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    SEC. 29. Registration Without Examination for E WTs All

    2

    practicing

    EMTs

    at

    the time this Act

    is

    passed shall be deemed qualified for

    3 registration as an EMT

    if,

    in accordance with the rules and regulations of the

    4 Council, they have performed work within the scope of the practices of an

    5 EMT as defined in this Act, for such period of time as may be required

    y

    the

    6 Council and have been certified by an

    EMS

    Medical Director to have

    7 performed

    full

    EMT functions in a pre-hospital and inter-hospital care

    8 setting.

    9 SEC 30. RegIStration With Examination for MTs

    -

    All

    practicing

    10

    EMTs who arc not graduates

    of

    an EMT program from a TESDA or

    CHED-accredited pUblic

    or

    private cducationaVtraining institution

    at

    the time

    12

    of the effectivity

    of

    this Act shall be qualified for registration through

    13

    examination using the following procedures:

    14 n) An

    applicant must provide a full record of mitial trainir.g completed

    15 as an

    EMT. This record must include details of the training establishment, a

    16 full

    syllabus

    of

    training completed, a record of ongoing rraming and proof of

    17

    the applicant s work experience as an EMT

    in

    any local or international

    18

    organization

    tor at

    teast one

    1)

    year and a certification

    by

    an

    EMS

    Medical

    19

    Director to have perfonned full EMT functions in a pre-hospital and

    20

    inter-hospital care setting; and

    21

    (b) Upon

    compliance

    with the aoovestated

    requirements,

    the candidate

    22

    shall

    be

    referred

    to

    an accredited TESDA,

    PRe

    or EMT assessment

    23

    center.

    24

    SEC

    31.

    Accredited Professional Organization -

    All certified EMTs

    25 shan

    belong to one national organization

    which

    shall be

    recognized

    by

    the

    26 Council as the onc and only accredited EMT organization in the country. A

    27 certified EMT duly registered with the TESDA or the Re shall automatically

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    15

    become a member of the accredited professional organization of EMTs and

    2 shall enjoy the corresponding benefits and privileges.

    3

    SEC

    32. Code ofEthics

    o

    EMTs - The Council, In coordination. with

    4 the accredited professional organization, shall adopt and promulgate the

    Code

    5

    of

    Ethics and the Code

    of

    Technical Standards

    for

    EMTs to include, among

    6 others, the duties of EMTs to pre-hospital emergency care patients, to the

    7 community, to their colleagues in the profession, and to allied professionals.

    8 SEC 33. Prohibited

    cts

    and PenaltIes on the Pracilce o Emergency

    9 Medical Service - The following shall constitute an offense punishable under

    to

    this Act:

    11 a) Practicing or offering to practice pre hospital emergency care

    12 services in the Philippines or offering oneself as an EMT,

    or

    using the title.

    l word, letter, figure or any sign tending to convey the impression that one is a

    14

    registered and licensed EMT,

    or

    advertising or indicating

    in

    any manner

    15 whatsoever that one

    is

    qualified to practice pre-hospital emergency care, unless

    16 one has satisfactorily demonstrated the prescribed competency standards,

    in

    17

    full

    accordance with the requirements of the Council and is a holder

    of

    a

    18 National Certificate in Emergency Medical Services or a temporary/special

    19 permit duly issued

    by

    the Council;

    20

    b) Providing pre-emergency hospital care within the meaning

    of

    21

    this Act without a valid certificate

    of

    registration and a professional

    22 identification card or a valid temporary/special permit issued in accordance

    23 herewith;

    24 c) Presenting or using a certificate

    of

    registration

    or

    a professional

    25 identification card belonging to another person,

    26 d) Giving

    any

    false

    or

    forged evidence

    of

    any kind

    to th

    Council,

    27 the TESDA, the CHED or the

    PRe

    in obtaining any

    of

    the foregoing

    28 documents,

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    (e) Falsely impersonating any registrant with similar or different

    2 name;

    3

    (f)

    Abetting or assisting

    by

    any registered and licensed emergency

    4 hospital technician the illegal practice of a person who

    is

    not lawfully

    5 quaCifjed to provide pre-emergency

    hospital

    care

    within

    the meaning of this

    6 Act;

    7 g) Attempting to use a revoked or suspended certificate of

    8 registration or any invalid or expired EMT identification card or a cancelled

    9 temporary/special pennit,

    10

    (h) Operating an EMS training institution

    without

    proper

    11 accreditation; and

    12

    i)

    Using without appropriate authority, an ambulance/emergenc)

    13 medical vehicle such

    as

    transporting illegal drugs and transporting passengers

    14 and personnel

    who do

    not require emergency care.

    15

    Any person violating any of the prohibited acts under

    this

    section shan

    16 be penalized with imprisonment

    of

    not less than one I) year but not more than

    7 five (5) years or a fine of not less

    than

    fifty thousand pesos PSO.OOO.OO) but

    18 not more than one hundred thousand pesos PIOO,OOO.OO),

    or

    both. at the

    t

    9 discretion

    of

    the court

    20 CHAPTER rv

    2 t EMERGENCY MEDICAL VEHICLES

    22 SEC. 34.

    Emergency Medical Vehicles

    - The Council shall develop

    23 minimum requirements for the design, construction, performance,

    24 equipment, testing and appearance

    of

    emergency medical vehicles. As such,

    25

    only emergency medical vehicles shall

    be

    allowed to display the v{Qrd

    26 Ambulance and the universally accepted Star of Life symbol. [ t shall

    27 also provide for the operation protocols of said vehicles. t shall also

    28 design an accreditation system to provide the public with ambulances and other

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    \7

    emergency medical vehicles that are easily identifiable, nationally

    2

    3

    4

    5

    recognizable,

    appropriately

    perfonn their

    providers.

    properly constructed,

    equipped,

    will

    enable

    functions as basic and

    easily maintained and, when

    EMTs to safely

    and

    reliably

    advanced pre-hospital

    life

    support

    6

    The

    ambulance shall

    e

    designed to provide the following features at the

    7 minimmn:

    8

    a)

    A

    driver s

    compartment;

    9 (b) A patient compartment with sufficient space

    to

    safely and

    10 comfortably accommodate an EMT and a patient

    who

    can be given Intensive

    II

    life support during transit;

    12 c) Equipment and supplies for emergency care at the scene as well as

    13

    during transport;

    14

    (d) A two-way

    radIO

    telephone

    or

    electromc communication with the

    15

    Ambulance Dispatch Officer (ADO); and

    16 e) When necessary, equtpment for light rescue/extrication procedures.

    17

    The emergency medical vehicle shall be so designed and constructed to

    18

    provide the patient with safety and comfort, and to prevent aggravation of the

    19 patient's injury or illness.

    20 The designated vehicle marking of "Ambulance" is hereby restricted for

    21

    use by emergency

    medical

    vehicles only.

    22 While failwe

    of

    an emergency medical

    vehicle

    to

    conform to Council

    23 standards may be a ground for the removal of

    its

    certification, such failure shall

    24 not bar EMTs from:

    25 (1) Responding and providing appropriate basic or advanced life

    26 support on site to persons reported experiencing acute injury

    or

    illness in a

    27

    p r e ~ h o s p i t l

    setting, and transporting them, while continuing such life support

    28 care, to an appropriate medica facility for definitive care;

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    2

    3

    4

    5

    6

    7

    8

    9

    10

    12

    I

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25

    26

    27

    28

    18

    2) Providing inter-hospital critical transport care;

    or

    3) Transporting

    essential personnel and equipment to and from the site

    of

    a multiple medical

    emergency or

    a triage site

    and

    transporting appropriately

    triaged patients to designated medical facilities.

    CHAPTER V

    EMERGENCY COMMUN1CATIONS

    SEC. 35 Adoption

    o

    a NatIonal UniversaL Emergency Telephone

    Number - There

    shall only be

    onc

    national emergency

    number

    to enable the

    public

    to

    access emergency medical services. Towards this end,

    the

    National

    Telecommunications Commission (NTC) shall develop a program

    for the

    adoption of a national emergency nwnber with

    the

    LGUs and officials

    responsible

    for

    emergency service and public safety; the telecommunications

    industry (specifically including the cellular and other wireless

    telecommunications service providers ; the motor vehicle manufacturjng

    industry;

    emergency medical

    crvice providers;

    emergency dispatch

    providers; transportation

    ofticials;

    public safety,

    fire

    service and law

    enforcement officials;

    consumer groups; and

    hospital

    emergency and

    trauma care personnel (includmg emergency physicians, trauma surgeons and

    nurses).

    SEC.

    36.

    ComplIance

    It shall be the duty

    of

    every voice service

    provider to provide its subscribers with access to the national universal

    emergency

    nwnber

    in accordance

    with

    the

    implementing rules

    and

    regulations

    to e adopted

    pursuant to this Act.

    SEC. 37. Prohibited Acts and Penalties

    on

    Emergency

    Communications - a) Any person who makes a telephone call to an

    emergency telephone number with intent to annoy, abuse, threaten or harass

    any person who answers

    the telephone

    call, subject

    to subsection (c) of this

    section, shall

    e

    given a warning for the first offense,

    and

    shaH

    be

    compelled to

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    19

    attend a seminar

    on

    the proper use of the national emergency telephone number

    2

    on

    the second offense. Upon commission

    of

    the offense for the third time, the

    3 offender shall, upon conviction,

    e

    imposed with a fine of not less than five

    4 hundred pesos (P500.00) but not more than one thousand pesos (P I ,000.00).

    5 Upon commission of the offense for the fourth and succeeding limes, the

    6 offender shall,

    upon

    conviction. e

    imposed

    with a penalty

    of imprisonment

    of

    7

    not

    less than one (1) month but not more than six (6) months or a fine of not

    8 less than two thousand pesos P2,OOO.OO) but not more than five thousand

    9

    pesos

    PS,OOO.OO),

    or

    both. at

    the discretion

    of

    the

    COurt.

    10 (b) Any person who makes a telephone call to an emergency telephone

    11 number and, upon the call being answered, makes or solicits any comment,

    12

    request, suggestion,

    proposal or sound which is

    o s c e n e ~

    lewd. lascivious,

    13

    filthy or indecent, shall be given a warmng for the first offense, and shall be

    14 compelled to attend a seminar on the proper use

    of

    the national emergency

    15 telephone number on the second

    offense.

    Upon commission of the offense

    16 for the third time, the offender shall, upon conviction, be imposed with a fine

    7

    of

    not less than five bundred pesos (P500.00) but not more than one thousand

    18 pesos P},OOO.OO), Upon commission of the offense for the fourth and

    19 succeeding times, the otTender

    shaH,

    upon conviction, be imposed with a

    20 penalty of imprisonment of not less than one (1) month but not more than six

    21 (6) months or a fine of not less than two thousand pesos P2,OOO.OO) but not

    22 more than five thousand pesos (P5,000.00), or both, at the discretion

    of

    the

    23 court.

    24 (c) Any person who gives a false report of a medical emergency or

    25 gives false information

    in

    connection with a medica emergency, or makes a

    26 false alarm of a medical emergency, knowing the report or information or

    27 alarm to e false; or makes a false request

    for

    ambulance service to an

    28

    ambulance service provider, knowing the request

    to be

    false, shall be given a

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    20

    warning for the first offense, and shall be compelled to attend a semmar on

    2 the proper use

    of

    the national emergency telephone number on the second

    3

    offense.

    Upon commission

    of

    the offense

    for

    the third time, the offender

    4

    shaH,

    upon conviction, be imposed with a fine

    of

    not less than two thousand

    5 pesos P2,000.00) but not more than five thousand pesos P5,OOO.00) and

    6 payment for damages. Upon commission

    of

    the offense for the fourth and

    7 succeeding times, the offender shall, upon conviction.

    be

    imposed with a

    8 penalty

    of

    imprisonment

    of

    not less than one I) year but not more than three

    9 3) years

    or

    a fine

    of

    not less than tive thousand pesos

    P5,OOO.OO)

    but not

    10 more than ten thousand pesos P10,OOO.OO) and payment for damages, or

    11

    both, at the discretion

    of

    the court.

    12

    CHAPTER

    VI

    13

    MISCELLANEOUS PROVISIONS

    14

    SEC. 38. en

    ice Requirement

    ~ The Council shall require mandatory

    15

    service for all pre-hospital emergency care providers as a condition for

    i

    maintaining

    their license

    nd

    accreditation

    17 SEC. 39.

    Role of th L G U ~

    The LOUs are hereby mandated to

    18 develop and institutionalize a pre-hospital emergency care system within their

    19 area

    of

    jurisdiction. The Council shall develop and implement traming

    20 programs and similar activities to enable the LOU:;

    to

    accomplish thiS task.

    21

    SEC. 40.

    Appropriations

    ~ The Secretaries of the Departments

    22 concerned shall include in their programs the implementation

    of

    this Act, the

    23 funding

    of

    which shall be included in the annual General Appropriations Act.

    24 SEC. 41.

    Implementing Rules and Regulations -

    Except as otherwise

    25

    provided, the Council, in coordination

    with

    the NTC, the TESDA, the CHED,

    26 the PRe and the DOH, shall issue

    and

    promulgate the rules

    and

    regulations to

    27 implement

    the

    provisions

    of

    this Act

    within

    one hundred twenty 120) days

    28 after

    its

    constitution.

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    21

    I SEC 42. Separability Clause

    - If

    any clause sentence paragraph

    or

    2 part

    of

    this Act shall

    e

    declared unconstitutional

    or

    invalid such judgment

    3 shall not affect invalidate or impact any other part of this Act.

    4

    SEC 43

    Repealing Clause - ny provision

    of

    laws orders

    5 agreements rules

    or

    regulations contrary to and inconsistent with this Act is

    6 hereby repealed amended

    r

    modified accordingly.

    7 SEC 44. Effectivity

    -

    This Act shall take effect fifteen I5) days after

    8 its publication

    in

    the Official Gazette or

    in

    a newspaper ofgeneral circulation.

    Approved

    o